I really miss the days when the worst we thought Jeremy Hunt could do to the NHS was privatise it. At least you knew what you were getting with privatisation. But what Mr Hunt is doing, incredibly, manages to be worse.

It was via the process of writing to David Nicholson to request a meeting to discuss the possibility of a Department of Health analysis of Dr Phillip Lee MP's hospital plan that I chanced upon the deadly organisational species of a 'delegocracy'.

The Mid Staffs crisis is testament to the appalling problems which besiege the NHS organization or shall we say NHS disorganization and I believe are down to the fact that the whole thing is a haphazard configuration of dilapidated sites - the operations of which can never be properly mapped nor measured and thus efficiently managed.